Great River Rescue Happy Tails Summer Camp Registration Form 2018
All information must be filled out completely for your registration form to be accepted. You will receive a confirmation email from Great River Rescue after receiving the completed form with further instructions. Happy Tails Summer Day Camp is for kids entering 3 - 5 grades.
Child's First and Last Name *
Your answer
Which week of Summer Camp will your child participate in? *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Age at start of Day Camp *
Your answer
Child's Grade entering Fall 2018 *
Your answer
Gender *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent/Guardian #1 First and Last Name *
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Work Phone Number
Your answer
Email Address
Your answer
Parent/Guardian #2 First and Last Name
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Work Phone Number
Your answer
Email Address
Your answer
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